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1770060071
NICHOLAS BANKER
NEW YORK, NY
NPI
1770060071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F402473)
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
NICHOLAS BANKER PMHNP
521 5TH AVE
NEW YORK, NY 10175-0003
Phone number: 914-740-5287
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Mailing Address
NICHOLAS BANKER PMHNP
173D EDGEWATER PARK
BRONX, NY 10465-3514
Phone number: 347-541-2388
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